Low-profile feeding tube for stomach or jejunum

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

TUBE PEG 5.5MM 24FR PEG 24 D MARK STP DSGN LF MRI-COND

Anthem pricing summary

Low

$19

Average

$156

Median

$43

High

$999

Anthem rate distribution

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162 hospital rates

#		Plans
1	University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges	4	$305	$592	$740	125%	14–140	$131 – $4.0k
2	Acadia Hospital Bangor, ME facility · fee schedule · outpatient	2	$31	$31	$4	12%	—	$27 – $35
3	Acadia Hospital Bangor, ME professional · fee schedule · outpatient	1	$28	$28	—	—	—	$28 – $28
4	Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient	1	$41	$41	—	—	—	$41 – $41
5	Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · inpatientfrom % of charges	1	$294	$294	—	—	—	$294 – $294
6	Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · outpatientfrom % of charges	3	$252	$262	$20	8%	—	$244 – $290
7	Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient	2	$24	$19	$12	61%	—	$3 – $31
8	Boulder Community Health Lafayette, CO facility · case rate · outpatient	1	$44	$44	—	—	—	$44 – $44
9	Boulder Community Health Lafayette, CO professional · fee schedule · both	2	$41	$41	—	—	—	$41 – $41
10	CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient	1	$43	$43	—	—	—	$43 – $43
11	CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient	1	$43	$43	—	—	—	$43 – $43
12	CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient	1	$43	$43	—	—	—	$43 – $43
13	CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient	1	$43	$43	—	—	—	$43 – $43
14	CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient	1	$43	$43	—	—	—	$43 – $43
15	CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient	1	$43	$43	—	—	—	$43 – $43
16	CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient	1	$43	$43	—	—	—	$43 – $43
17	CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient	1	$43	$43	—	—	—	$43 – $43
18	Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient	1	$39	$39	—	—	—	$39 – $39
19	Carilion Franklin Memorial Hospital Mt, VA other · outpatient	1	$45	$45	—	—	—	$45 – $45
20	Carilion Giles Community Hospital Roanoke, VA other · outpatient	1	$45	$45	—	—	—	$45 – $45
21	Carilion New River Valley Medical Center Christiansburg, VA other · outpatient	1	$45	$45	—	—	—	$45 – $45
22	Carilion Rockbridge Community Hospital Lexington, VA other · outpatient	1	$45	$45	—	—	—	$45 – $45
23	Carilion Tazewell Community Hospital Tazewell, VA other · outpatient	1	$45	$45	—	—	—	$45 – $45
24	Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient	1	$37	$37	—	—	—	$37 – $37
25	Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient	2	$24	$19	$12	61%	—	$3 – $31

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← Payers reporting HCPCS B4088 · Snapshot 20261111T120946Z-9134e7f7

HCPCS B4088